Individual
JANA A LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4390 CLEARWATER WAY, APT 406, LEXINGTON, KY 40515-6359
(859) 661-3568
Mailing address
4390 CLEARWATER WAY, APT 406, LEXINGTON, KY 40515-6359
(859) 661-3568
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015818
KY
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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